NPI | 1902883218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301049989) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301049989) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2019-11-09 |